Individual
DALE ALWOOD EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
208 W 2ND ST, GOODLAND, KS 67735-1660
(785) 890-7517
Mailing address
425 ARROWHEAD ST, COLBY, KS 67701-3611
(785) 443-3855
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02107
KS
225200000X
Physical Therapy Assistant
14-02108
KS
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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